吸烟对钩钢板治疗急性肩锁关节脱位后复位维持的影响。

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2023-12-01 Epub Date: 2023-11-03 DOI:10.5397/cise.2023.00738
Jee-Hoon Choi, Yong-Min Chun, Tae-Hwan Yoon
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引用次数: 0

摘要

背景:本研究的目的是确定吸烟与钩钢板固定治疗急性肩锁关节损伤的临床结果之间的关系。方法:回顾性分析2014年3月至2022年6月82例急性AC关节脱位行钩钢板固定的患者。按吸烟情况分组,N组(不吸烟)49例,S组(吸烟)33例。在1年的随访中比较各组的功能评分和活动范围。测量喙锁骨距离(CCD),比较其与未损伤侧在初始损伤时和移除植入物6个月后的差异。结果:两组患者在年龄、性别等人口统计学因素、损伤至手术时间、术前CCD差值、Rockwood分级等初始损伤状态相关参数均无显著差异。但术后CCD差异S组(3.1±2.6 mm)明显高于N组(1.7±2.4 mm)。多因素回归分析显示,吸烟和术前CCD差异是导致术后CCD差异增加的独立因素。尽管放射学上存在差异,但两组之间的术后临床结果评分和活动范围测量值具有可比性。结论:吸烟对急性AC关节脱位钩钢板固定后韧带愈合有不利影响。这一发现强调了戒烟对于减少交流关节损伤后的维持的重要性。
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Effect of cigarette smoking on the maintenance of reduction after treatment of acute acromioclavicular joint dislocation with hook plate fixation.

Background: The purpose of this study was to determine the association between smoking and clinical outcomes of hook plate fixation for acute acromioclavicular (AC) joint injuries.

Methods: This study retrospectively investigated 82 patients who underwent hook plate fixation for acute AC joint dislocation between March 2014 to June 2022. The patients were grouped by smoking status, with 49 in group N (nonsmokers) and 33 in group S (smokers). Functional scores and active range of motion were compared among the groups at the 1-year follow-up. Coracoclavicular distance (CCD) was measured, and difference with the uninjured side was compared at initial injury and 6 months after implant removal.

Results: No significant differences were observed between the two groups in demographic factors such as age and sex, as well as parameters related to initial injury status, which included time from injury to surgery, the preoperative CCD difference value, and the Rockwood classification. However, the postoperative CCD difference was significantly higher in group S (3.1±2.6 mm) compared to group N (1.7±2.4 mm). Multivariate regression analysis indicated that smoking and the preoperative CCD difference independently contributed to an increase in the postoperative CCD difference. Despite the radiographic differences, the postoperative clinical outcome scores and active range of motion measurements were comparable between the groups.

Conclusions: Smoking had a detrimental impact on ligament healing after hook plate fixation for acute AC joint dislocations. This finding emphasizes the importance of smoking cessation to optimize reduction maintenance after AC joint injury. Level of evidence: III.

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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
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